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HomeMy WebLinkAboutDavies, Ann 4 U d Off c o JUDITH T.TERRY .0k th Town Hall, 53095 Main Road TOWN CLERK ; y Z P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � 471 MARRIAGE OFFICER �y Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER = �.� `�►aO.1�, Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1780 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : STANLEY SKREZEC Address 1 : 50 GULL POND LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration REPLACE EXISTING CESSPOLL SYTEM WITH NEW TANK AND RINGS. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner DAV I ES, ANN & MILANO, NANCY Mailing Address 1 AQUAVIEW AVENUE City St Zip EAST MARION NY 11939 Property Address 1 AQUAVIEW AVENUE City St Zip EAST MARION NY 11939 Tax Map No. section 21 .00 block 3 lot 15.000 Cross Street ROCKY POINT ROAD Building Permit Number Cross Reference: Issue Date: 12/19/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) 7 7 j() C JUDITH T.TERRYR ,�It 1-1G'f� Town Hall, 53095 Main Road TOWN CLERK 3 — P.O. Box 1179 iv'tSouthold, New York 11971 REGISTRAR OF VITAL STATISTICS %O ��, Fax (516) 765-1823 MARRIAGE OFFICER y �� RECORDS MANAGEMENT OFFICER %IV * *i . f-. / Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICERcrc)6 / ':Pi i OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 11 , 1997 Transmitted herewith is a copy of application No. 1854 for a Cesspool/ Septic Tank Construction Permit submitted by: Stanley F. Skrezec for Ann Davies . Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. 4erY"er'e: Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: ' l cc,....."---... Signatur , z 11z14, —, Dated OFFICE OF THE TOWN CLERK ""' •flown of Southold00Ur Judith T. Terry, Town Clerk ���Oc9 C4,-. Application No./ �5 Town Hall, 53095 Main Road Z L . ,•=c Construction P. O. Box 1179 Southold, New York 11971 re, ; Alteration Telephone 0 �� � $10.00 - Residential (516) 765-1801 �1 P,•• $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 1 / I527 APPLICANT NAME: TW11LL Y F tg APPLICANT ADDRESS: S-0 &iLL PL. T /kr . y. l 14 Y SEPTIC XESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION aQ (. c .� p L D r e SC j 4 r.L 5 - S-( ivl w, i' coo 6-A-4. 6 k , di fin' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: /4iv?J 1;?.,e�. , e Cw661'W OWNER MAILING ADDRESS: J\ OVA diel✓ OWNER PROPERTY ADDRESS: yvt TELEPHONE NUMBER OF CONTACT PERSON: ` ( e L.2 TAX MAP NO. : Section Block Lot CROSS STREET: .� P T �� i S REFERENCE: R BUILDING PERMIT NUMBER CROS E ENCE: `1G -C r , Sgnature of pplicant RECEIVED BY: /Z Town Clerk's ffice DATE: / &//./ /f 7 -T - - - -- . - -- - ,' 4 4 tAi -,:t...... . S ( '. ric)-6C../- . . wo / 7t / I ) /1 • ri /, 7--...7..._.:.1,—___,....... . r-1 • e0 .,-A *,_._......,‘ _.. 3 IQ v" 1,V ( __C".:.....5..4......r......_......., OP ' GL Xi S.4-rIki Li-- \ 1 ' Li/AAA ' 1 . 171-41‘C k1j1)11-- t i , cl CC trivt- 16, 1 S2, tic r1"41 . 4 • UNp 5C( StC NO .50 50 A...,(4 p •••?e4 \ . rte( v ‘5 RMsI -, _ { .... O / • 7 M • a� ilk (!ol s /1 4,''''.,4,t. 11..61'"‘ II. 1...04.1*-11111 Ir. Hifi , ,- ...,-,t • .4.....‘ 4,.. # •6 . , , , \ .,:i. ,.,• .. .0 • V , oa •‘-:',....- a ,• v {t � II•kl at' i .1.1 ..•r O • rbc, A # vaiii ,,, 1 / T4 '•tst I 0 05104 gl 1••• *.' I 5 ili , ii,,, 1004 P Ctc� !'•ld (!Ol �� eLVV • • T[[ SCC YO .30 •//���(), 1 t0 V { • .. . 1 -O. ��� . _ t t a , 3y I q \- / t u . IS I•• • v. b II 7 •..� ti l� 0 .O •Y /• O 4 .f• L 0114,tyr h- �• ... •. 'e r(wI ••wCf l MO FOO w•YC. n0 (.. S(( YC YOC\., SCC SIC 40 OSJ C' :0:0 .1.1.".;•:-.';* .'"••••.!,•• 1 . ..::.....NW '. IS ,.....t>', .." 40% i SCC b 030 .,i V • rW roma SOUTHO_LO_ stoic..ma CEI 00 © COUNTY OF SUFFOLK -• •� L�{{..ww•t�M• . �� �Mul,•M n NMI .1..'l�,il•. ')',•i,•II."!I1 lrni* $ RIrvice A�•iencl r.u.*E V• —.. 9